Visioning PM&R Bold


Musculoskeletal Care Practice Area

In the Future ... Physiatry is primary care’s frontline partner for all non-emergent Musculoskeletal (MSK) Care.

Physiatrists provide timely and appropriate access for the primary care provider’s patients by decreasing unnecessary utilization of procedures, imaging, medications, and surgical procedures, and the development of primary and secondary prevention programs for MSK issues.

Patients are empowered by obtaining education about their condition and timely, cost-effective, coordinated care for all musculoskeletal complaints, regardless of chronicity. There is an increased demand for physiatry from patient groups, primary care providers, and health care systems. This increases awareness across patient and provider groups and increases the value of shared decision making, prehabilitation, and wellness.

Primary care providers benefit through access to comprehensive MSK Care from experts in education,
resource management, and value-based care. The partnership is the foundation for a model of MSK Care impacting population health.

Physiatrists enjoy an increased level of job satisfaction by leading the management of appropriate care and experiencing greater autonomy.

What will this look like in practice?

We are looking to develop and document 3 identified models of care that offer strong future alignment and value to the primary care partnership:

  • Model 1: Integrate physiatrists into primary care, multi-specialty practices as the trusted partner for MSK Care
  • Model 2: Establish comprehensive musculoskeletal, physiatrists-led practices
  • Model 3: Establish stand-alone spine and/or pain physiatric practices to align with primary care

How will the Academy be supporting this?

Our prioritized objectives in Musculoskeletal Care are:

  • Create curriculum and resources to prepare physiatrists to embrace, lead, and practice in the new
    musculoskeletal models.
  • Set a standard for training (in residency, fellowship, and in practice) that will advance the knowledge and
    skills of physiatrists to meet the needs of these models.
  • Document and demonstrate the value of physiatry to primary care.
  • Actively promote the specialty to primary care to generate demand for physiatrists as valuable partners.